National Provider Identifier Database

COASTAL PEDIATRIC GROUP
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

COASTAL PEDIATRIC GROUP
36468 EMERALD COAST PKWY UNIT 2101
DESTIN, FL32541
Phone: 850-659-6556
Fax: 850-249-1308
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for COASTAL PEDIATRIC GROUP

NPI Number 1417304643
Legal business name
LBN
COASTAL PEDIATRIC GROUP
Authorized official MARILYN SPRENKLE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/17/2016
Last updated 01/02/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME87333

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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